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@article{1652277,
author = {Dvorackova, E. and Rychlíčková, Jitka and Pavek, P. and Hojny, M. and Vlcek, J.},
article_location = {ESCHBORN},
article_number = {10},
doi = {http://dx.doi.org/10.1691/ph.2019.9568},
keywords = {CHRONIC KIDNEY-DISEASE; CLINICAL PHARMACISTS; OUTCOMES; CARE; INTERVENTIONS; MEDICATIONS; PREVALENCE; GUIDELINE; SERVICES; IMPACT},
language = {eng},
issn = {0031-7144},
journal = {Pharmazie},
title = {Analysis and management of drug related problems on a nephrology ward from a pharmacist's point of view},
url = {https://www.ingentaconnect.com/contentone/govi/pharmaz/2019/00000074/00000010/art00011?crawler=true&mimetype=application/pdf},
volume = {74},
year = {2019}
}
TY - JOUR
ID - 1652277
AU - Dvorackova, E. - Rychlíčková, Jitka - Pavek, P. - Hojny, M. - Vlcek, J.
PY - 2019
TI - Analysis and management of drug related problems on a nephrology ward from a pharmacist's point of view
JF - Pharmazie
VL - 74
IS - 10
SP - 625-629
EP - 625-629
PB - GOVI-VERLAG PHARMAZEUTISCHER VERLAG GMBH
SN - 00317144
KW - CHRONIC KIDNEY-DISEASE
KW - CLINICAL PHARMACISTS
KW - OUTCOMES
KW - CARE
KW - INTERVENTIONS
KW - MEDICATIONS
KW - PREVALENCE
KW - GUIDELINE
KW - SERVICES
KW - IMPACT
UR - https://www.ingentaconnect.com/contentone/govi/pharmaz/2019/00000074/00000010/art00011?crawler=true&mimetype=application/pdf
L2 - https://www.ingentaconnect.com/contentone/govi/pharmaz/2019/00000074/00000010/art00011?crawler=true&mimetype=application/pdf
N2 - The main goal of the study was to determine the incidence and the character of drug related problems (DRPs) identified in chronic kidney disease patients by the clinical pharmacist at the nephrology department. As secondary objective, the aim was to identify the frequency and character of DRPs of selected high risk drugs in medication reviews. The clinical pharmacist reviewed patients. medication records and made drug therapy-related recommendations to physicians. The clinical pharmacists. interventions were categorized using an adaptation of the Pharmaceutical Care Network Europe. During the study period (January 2016 - June 2018) the clinical pharmacist performed 1192 interventions in 1870 adult patients admitted to the Nephrology Department. The most frequent DRP was untreated indication 324 (27.18%) of all interventions, and incorrect dose 248 (20.81%). Anti-infectives were identified as the drug category with the highest frequency of interventions. Almost 93% of all interventions were accepted by the attending physicians. Still within the second objectives, underdosing was observed as the most frequent problem for renally excreted drugs. It was found that an incorrect dose is a very frequent issue at the nephrology department. Surprisingly, the main problem was underdosing. In the category of renally excreted drugs, underdosing was observed in antithrombotics and antivirals. The above- mentioned results prove the need of a clinical pharmacist, preferably in sense of maximizing of the treatment effect and improving the care of patients.
ER -
DVORACKOVA, E., Jitka RYCHLÍČKOVÁ, P. PAVEK, M. HOJNY and J. VLCEK. Analysis and management of drug related problems on a nephrology ward from a pharmacist's point of view. \textit{Pharmazie}. ESCHBORN: GOVI-VERLAG PHARMAZEUTISCHER VERLAG GMBH, 2019, vol.~74, No~10, p.~625-629. ISSN~0031-7144. Available from: https://dx.doi.org/10.1691/ph.2019.9568.
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